| Organization Name: | NEOSHO MEMORIAL REGIONAL MEDICAL CENTER |
| NPI Number: | 1235260951 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY WOODYARD (CFO) |
| Mailing Address: | 629 S Plummer Ave Chanute |
| State: | KS US |
| Postal Code: | 667201928 |
| Phone Number: | 6204325314 |
| Fax Number: | 6204317556 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |